Prior Auth Required

0864T - Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceLow-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy
Procedure / Service Description

Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, - Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, 0863T including device interrogation and programming; transmitter component only 0864T Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy A0430 Fixed Wing Air Transport A0431 Rotary Wing Air Transport

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.